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1497041313
BRENT BAXTER
NAMPA, ID
NPI
1497041313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P5172)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
DR. BRENT BAXTER PHARM D
715 12TH AVE S
NAMPA, ID 83651-4254
Phone number: 208-466-3592
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Mailing Address
DR. BRENT BAXTER PHARM D
715 12TH AVE S
NAMPA, ID 83651-4254
Phone number: 208-466-3592
Copy
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